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NPI Code Detail

MEDICARE: DARA SWEATT MSPT

MEDICARE:   DARA  SWEATT  MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist19452MA

General Provider Information

NPI Number : 1518437516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARA SWEATT MSPT
Provider Business Mailing Address
First Line : 470 EDGELL RD
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01701-3933
Country : US
Telephone Number : 617-501-4696
Fax Number :
Provider Business Practice Location Address
First Line : 589 HIGHLAND AVE
Second Line :
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-2205
Country : US
Telephone Number : 781-455-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2018
Last Update Date : 12/03/2018

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